Boehnke Kevin F, LaMore Cheryl, Hart Patty, Zick Suzanna M
Anesthesiology Department, University of Michigan Medical School, Ann Arbor, MI 48105, United States; Chronic Pain and Fatigue Research Center, University of Michigan Medical School, Ann Arbor, MI, United States.
Department of Family Medicine, University of Michigan Medical School, Ann Arbor, MI, United States.
Explore (NY). 2022 Jan-Feb;18(1):104-107. doi: 10.1016/j.explore.2020.11.010. Epub 2020 Nov 23.
Yoga improves quality of life in elders ≥65 years, but studies among elders with chronic pain are limited.
Conduct a feasibility study of gentle yoga among elders in assisted and independent living.
Single arm pre/post clinical trial.
Adults (≥65 years of age) with self-identified chronic pain (≥3 on a 10-point scale, lasting for ≥3 months) and no current yoga practice.
Ten weekly 60-min gentle yoga classes tailored to elderly adults.
At baseline, weeks 5, 10 (end of intervention), and 20 (follow-up), we collected data on feasibility (adherence, retention, safety), pain, anxiety, depression, fatigue, sleep disturbance, and physical function.
Twenty-six participants enrolled (88% women, 77% white, 58% in assisted living) with average age of 86.6 ± 4.4 (Mean, STD). Twenty participants completed the intervention, with 90% adhering (completing ≥6 classes). Nine participants (45% of completers) experienced adverse events, which were non-serious and related to transient musculoskeletal pain. No adverse events resulted in study withdrawal. Participants reported being somewhat likely to recommend yoga to a friend, and quite a bit likely to do yoga again. At the end of the intervention, four of twenty participants reported practicing yoga outside of class. Anxiety significantly decreased from 5.80 (SE=0.90) to 4.44 (SE=0.74) (p = 0.014), but there were no changes in other measures.
Our pilot 10-week yoga study was generally safe for and suitable to assisted and independent living elderly adults. Future studies are needed to examine other effects of yoga in assisted/independent living adults with chronic pain.
瑜伽可改善65岁及以上老年人的生活质量，但针对患有慢性疼痛的老年人的研究有限。
对辅助生活和独立生活的老年人进行温和瑜伽的可行性研究。
单组前后对照临床试验。
自我认定患有慢性疼痛（10分制评分≥3分，持续≥3个月）且目前未练习瑜伽的成年人（≥65岁）。
为老年人量身定制的每周10节、每节60分钟的温和瑜伽课程。
在基线、第5周、第10周（干预结束时）和第20周（随访时），我们收集了关于可行性（依从性、留存率、安全性）、疼痛、焦虑、抑郁、疲劳、睡眠障碍和身体功能的数据。
26名参与者入组（88%为女性，77%为白人，58%为辅助生活者），平均年龄为86.6±4.4（均值，标准差）。20名参与者完成了干预，90%的人坚持下来（完成≥6节课）。9名参与者（占完成者的45%）经历了不良事件，均不严重，且与短暂性肌肉骨骼疼痛有关。没有不良事件导致退出研究。参与者表示 somewhat likely to recommend yoga to a friend，并且quite a bit likely to do yoga again。在干预结束时，20名参与者中有4人报告在课外也练习瑜伽。焦虑水平从5.80（标准误=0.90）显著降至4.44（标准误=0.74）（p=0.014），但其他指标没有变化。
我们为期10周的瑜伽试点研究对辅助生活和独立生活的老年人总体上是安全且合适的。未来需要开展研究，以检验瑜伽对患有慢性疼痛的辅助生活/独立生活成年人的其他影响。
